Relationship between temperature and Anopheles gambiae sensu lato mosquitoes' susceptibility to pyrethroids and expression of metabolic enzymes

Background Malaria remains one of the most devastating diseases globally, and the control of mosquitoes as the vector is mainly dependent on chemical insecticides. Elevated temperatures associated with future warmer climates could affect mosquitoes' metabolic enzyme expression and increase insecticide resistance, making vector control difficult. Understanding how mosquito rearing temperatures influence their susceptibility to insecticide and expression of metabolic enzymes could aid in the development of novel tools and strategies to control mosquitoes in a future warmer climate. This study evaluated the effects of temperature on the susceptibility of Anopheles gambiae sensu lato (s.l.) mosquitoes to pyrethroids and their expression of metabolic enzymes. Methods Anopheles gambiae s.l. eggs obtained from laboratory-established colonies were reared under eight temperature regimes (25, 28, 30, 32, 34, 36, 38, and 40 °C). Upon adult emergence, 3- to 5-day-old female non-blood-fed mosquitoes were used for susceptibility tests following the World Health Organization (WHO) bioassay protocol. Batches of 20–25 mosquitoes from each temperature regime (25–34 °C) were exposed to two pyrethroid insecticides (0.75% permethrin and 0.05% deltamethrin). In addition, the levels of four metabolic enzymes (α-esterase, β-esterase, glutathione S-transferase [GST], and mixed-function oxidase [MFO]) were examined in mosquitoes that were not exposed and those that were exposed to pyrethroids. Results Mortality in An. gambiae s.l. mosquitoes exposed to deltamethrin and permethrin decreased at temperatures above 28 °C. In addition, mosquitoes reared at higher temperatures were more resistant and had more elevated enzyme levels than those raised at low temperatures. Overall, mosquitoes that survived after being exposed to pyrethroids had higher levels of metabolic enzymes than those that were not exposed to pyrethroids. Conclusions This study provides evidence that elevated temperatures decreased An. gambiae s.l. mosquitoes' susceptibility to pyrethroids and increased the expression of metabolic enzymes. This evidence suggests that elevated temperatures projected in a future warmer climate could increase mosquitoes' resistance to insecticides and complicate malaria vector control measures. This study therefore provides vital information, and suggests useful areas of future research, on the effects of temperature variability on mosquitoes that could guide vector control measures in a future warmer climate. Graphical Abstract Supplementary Information The online version contains supplementary material available at 10.1186/s13071-022-05273-z.


Background
The control of mosquito vectors using chemical insecticides remains the primary line of action to eradicate malaria [1][2][3]. According to the World Health Organization (WHO), six classes of insecticides-pyrethroids, organochlorines, carbamates, organophosphates, pyrroles, and phenyl pyrazoles-are used in mosquito control programs worldwide [4]. However, the development and rapid spread of insecticide resistance in mosquitoes such as Anopheles gambiae could affect malaria control measures. The An. gambiae complex consists of nine morphologically identical sibling species. They include An. gambiae sensu stricto (s.s.), An. arabiensis, An. merus, An. melas, An. quadriannulatus, An. amharicus, An. bwambae, An. coluzzii, and An. fontenillei [5][6][7]. In sub-Saharan Africa, An. gambiae complex is the primary vector responsible for causing malaria [8]. Hence, the resistance of An. gambiae mosquitoes to insecticides could threaten efforts aimed at malaria control, especially in regions such as Africa, Asia, and Latin America, where the disease is endemic and presents a significant public health threat [9][10][11][12]. Furthermore, the sustainability of the achievements made in combatting vector-borne diseases is at risk from the effects of climate change [13] as climate parameters such as temperature, rainfall, and humidity could directly affect the development and growth of mosquitoes [14,15].
Like all poikilotherms, the biochemical and physiological processes of insects depend on temperature, which has a significant effect on insects' growth, metabolic rate, and resistance mechanisms [16][17][18][19]. In addition, temperature variations can affect insecticide susceptibility by directly modifying the physiology of mosquitoes [19]. The efficacy of insecticides against mosquitoes is, to some extent, temperature-dependent [20]. A study conducted by Whiten and Peterson [21] on the influence of ambient temperature on the susceptibility of Aedes aegypti mosquitoes to permethrin, a pyrethroid insecticide, found a negative correlation between temperature and mortality from 32 to 34 °C. Exposure to elevated temperatures has also been shown to increase pyrethroid resistance in mosquitoes by affecting the expression of metabolic enzymes [19].
Insects such as mosquitoes have developed various metabolic mechanisms that help them complete their life-cycles [22]. The ability of insects to degrade toxic substances is crucial to their survival, especially in the constantly changing environment [23]. Metabolic enzymes play a substantial role in the detoxification of toxic substances and the development of insecticide resistance in mosquitoes [22,24]. The most important metabolic enzymes associated with insecticide resistance include carboxyl/cholinesterases (CCEs), cytochrome P450 monooxygenases (P450s), and glutathione S-transferases (GSTs) [25,26]. High levels of metabolic enzymes in mosquitoes may confer resistance to different insecticide classes and detoxify insecticides before getting to the target site of action [2].
A deep dive into the literature revealed that a few studies [19,27,28] have examined the effects of temperature on the susceptibility of An. funestus, An. arabiensis, and An. stephensi but not on An. gambiae sensu lato (s.l.) mosquitoes (the predominant malaria vector in Ghana). In addition, only one study [19] examined the levels of metabolic enzymes in mosquitoes (cytochrome P450, α-esterase, and β-esterase) [29]. Even though these enzymes are useful in determining the metabolic resistance mechanism of mosquitoes to insecticides, they do not provide a holistic assessment of this mechanism. Available scientific evidence has reported high levels of other metabolic enzymes such as GST and acetylcholinesterase (AChE) in mosquitoes exposed to insecticides [30,31]. However, the effects of temperature on the levels of GST and AChE in An. gambiae s.l. mosquitoes have not yet been investigated. Thus, evaluating the effects of rearing temperature on An. gambiae s.l. mosquitoes' susceptibility to insecticides and expression of metabolic enzymes could be important for developing informed malaria vector control strategies in a future warmer temperature. In this study, we evaluated how the rearing temperature of female An. gambiae s.l. mosquitoes affected their expression of metabolic enzymes and susceptibility to pyrethroid insecticides.

Experimental design
Mosquitoes were reared in climate incubators (RTOP-1000D, Zhejiang, China) at the African Regional Postgraduate Programme in Insect Science (ARPPIS), University of Ghana. Ghana has a high temperature, with average annual temperature ranging between 25 and 30 °C [32]. To forecast the effects of elevated temperatures, this study selected three temperatures within the range of 25 to 30 °C and added increments of 2 °C from 30 to 40 °C to arrive at eight temperature regimes (25, 28, 30, 32, 34, 36, 38, and 40 °C) in which mosquitoes were reared [33]. The incubators were set at 80 ± 10% relative humidity and programmed to have a photoperiod of 12:12 (light/dark) h. A HOBO MX1102 CO 2 logger (Onset Computer Corp., Cape Cod, MA, USA) was placed in each incubator to monitor the daily temperature and relative humidity [34]. Data were downloaded daily between 10:00 and 11:00 am to ensure that temperature and humidity remained stable throughout the experiment (Additional file 1: Table S1).

Mosquito colony
This study used two laboratory strains of An. gambiae s.l. mosquitoes: Tiassalé and Kisumu strains. The Tiassalé strain (a mixture of An. gambiae s.s. and An. coluzzii) is resistant to four classes of insecticides (pyrethroids, organochlorines, carbamates, organophosphates) available for malaria control [35]. It initially originated from Tiassalé, Cote d'Ivoire [35], and has been maintained in the Vestergaard-Noguchi Memorial Institute for Medical Research Vector Labs (VNVL) insectary since 2010 [36]. The Kisumu strain is a reference population (susceptible An. gambiae) from Kisumu, Kenya. The reference population has no history of insecticide resistance; therefore, they are susceptible to insecticides. The eggs of both strains were acquired from a colony maintained at the VNVL insectary. Larvae were fed daily on 10 mg of TetraFin goldfish flakes (Tetra Werke, Melle, Germany), and adults were provided with cotton wool soaked in a 10% sugar solution. Three to five-day-old non-blood-fed female adult mosquitoes were used in all experiments. WHO recommends using non-blood-fed mosquitoes because the physiological status of mosquitoes has a marked effect on insecticide susceptibility [4]. In addition, blood-fed mosquitoes are usually fragile, and the constituents of the blood meal could interfere with the biochemical assay [37].

Molecular identification of An. gambiae s.l. mosquitoes (Tiassalé strain)
To confirm the composition of An. gambiae s.l., polymerase chain reaction (PCR) procedures were performed on the parent mosquitoes. One hundred adult female mosquitoes (3-5 days old, non-blood-fed) were randomly selected for molecular analysis. DNA was extracted from the sampled mosquitoes using the cetyltrimethylammonium bromide (CTAB) extraction method following the procedures described by Mouhamadou et al. [38].
Species-specific primers targeting the ribosomal DNA (rDNA) gene (intergenic spacer [IGS]) were first used to identify species of the An. gambiae complex using an established protocol [39]. Subsequently, short interspersed nuclear element (SINE) PCR was used for the identification of An. coluzzii and An. gambiae s.s. using the primers F6.1a (5′-TCG CCT TAG ACC TTG CGT TA-3′) and R6.1b (5′-CGC TTC AAG AAT TCG AGA TAC-3′), respectively [40]. The PCR reactions were performed in a 25 μl reaction, which contained 0.4 μM of each primer. The other reagents included 2× GoTaq ® Green Master Mix (Promega, Madison, WI, USA) 12.5 μl, and 4 μl of DNA template extracted from individual mosquitoes. The volume was adjusted with DNase-free water (6.5 μl). The amplifications were performed in a thermocycler (Alpha Cycler, UK) and programmed as follows: 94 °C for 5 min followed by 35 cycles of 94 °C for 30 s, 59 °C for 30 s, and 72 °C for 1 min. At the end of amplification, the mixture was subjected to a final extension at 72 °C for 10 min. The PCR products were allowed to migrate on 2% agarose gels stained with gel red. The species' expected band profile was 249 base pairs (bp) for An. gambiae s.s., 479 bp for An. coluzzii, and 249, 479 bp for hybrid (An. gambiae M and S forms) after visualization with a BioDoc-it imaging system (UVP, Upland, CA, USA).

WHO insecticide susceptibility tests
Two pyrethroid insecticides impregnated papers (0.75% permethrin and 0.05% deltamethrin) obtained from Universiti Sains Malaysia, Malaysia, were used to test the susceptibility of An. gambiae s.l. mosquitoes (both Tiassale and Kisumu strains) raised at 25, 28, 30, 32, and 34 °C. Permethrin and deltamethrin insecticides were selected because they are the most common insecticides used in malaria control programs [41]. The tests were performed at a constant temperature of 27 ± 2 °C following the standard WHO protocol [4].
For each mosquito strain, 20-25 female mosquitoes (aged 3-5 days), which were not fed a blood meal were aspirated into six plain paper-lined WHO holding tubes; two tubes labeled as control replicates and four as insecticide-exposed replicates [4] and observed under each temperature regime. Mosquitoes were gently placed into exposure tubes and observed for 1 h. The knockdown time (KDT) of females was recorded at 10, 15, 20, 30, 40, 50, and 60 min exposure period. After exposure, mosquitoes were transferred into holding tubes and provided with cotton wool soaked in 10% sugar solution. Mortality was recorded 24 h post-exposure [4].

Biochemical analysis
The levels of four metabolic enzymes (mixed-function oxidase [MFO], GST, alpha-and beta-esterase) were measured in mosquitoes reared at different temperature regimes (25,28,30,32, and 34 °C) and not exposed to insecticides. In addition, the enzyme levels were measured in mosquitoes reared at temperature regimes of 25, 28, 30, and 32 °C who survived exposure to pyrethroid insecticides (deltamethrin and permethrin). For measurement of enzyme levels of individual adult female An. gambiae s.l. (Tiassalé), biochemical assays were performed using the microplate enzyme system as described by Hemingway and Brogdon [42] with minor modifications. Briefly, the mosquitoes were frozen in Eppendorf tubes at −80 °C in the laboratory until analysis. Mosquitoes reared under each temperature regime (25,28,30,32, and 34 °C) were individually homogenized in 1500 µl of potassium phosphate buffer (on ice). The homogenate was centrifuged at 14,000 rpm at 4 °C for 1 min, and the supernatant was used as an enzyme source for all enzyme assays. All assays were done in duplicates using 96-well microplates. The absorbance values were measured using the SpectraMax 340PC (Molecular Devices, Sunnyvale, CA, USA). The number of An. gambiae s.l. mosquitoes from each rearing temperature regime used for biochemical analysis of metabolic enzyme level is presented in Table 1. The assays for the four enzymes are explained as described below.

Mixed-function oxidase
Duplicate wells containing 100 µl of supernatant were prepared, and 200 µl of 3,3,5,5-tetramethylbenzidine (TMBZ) (with methanol as the solvent), and 25 µl of 3% hydrogen peroxide (H 2 O 2 ) was added. The mixture was incubated for 5 min, and the optical density (OD) value was measured at 620 nm. The MFO level was estimated using the standard curve of absorbance for known cytochrome C concentrations. The enzyme level was expressed as equivalent units per mole of cytochrome P450/min/mg protein.

GST assay
First, duplicate plates of 100 µl of supernatant were prepared, and 100 µl of 1-chloro-2,4-dinitrobenzene (cDNB) and reduced glutathione were added one after the other. The OD values were read immediately after adding the GST solution at 340 nm. The plate was incubated for 5 min, and the OD values were measured again at the same wavelength. Beer's law (A = εlc) was used to calculate GST level, expressed as a mole of cDNB/ min/mg protein. With the extinction coefficient (ε) of 4.39 mM −1 cm −1 , the OD values (absorbance) were converted into mole cDNB conjugates. The path length was 0.94 cm.

Non-specific esterase (NSE) assay
Mosquito homogenates were prepared and the supernatant poured into duplicate wells of 100 µl. To one set of the wells, 100 µl of 30 mM α-naphthyl acetate was added, while to the other, 100 µl of 30 mM β-naphthyl acetate was added. The plate was incubated at room temperature for 10 min. After incubation, 100 µl of dianisidine was added to each well, and the mixture was allowed to incubate for another 2 min, after which the OD values were measured at 620 nm. The esterase level for each substrate was calculated based on the standard curves of absorbance for known concentrations of α-naphthol or β-naphthol. The enzyme level was expressed as moles of α-naphthol or β-naphthol/min/mg protein.

Protein assay
Because of size differences in individual mosquitoes, correction in the analyses of all enzyme levels was performed using the protein concentration as a standard correction factor. A commercial protein assay kit (Pierce Coomassie Plus, Thermo Scientific, USA) was used to obtain the bovine serum albumin standard curve. After that, the protein concentration was transformed and calculated based on the same curve. The protein assay was conducted by mixing 200 µl of Coomassie Plus dye reagent with 20 µl of mosquito homogenate and 80 µl of the potassium phosphate (K 3 PO 4 ) buffer, and the plate was read at 620 nm. Table 1 Number of An. gambiae s.l. mosquitoes from each rearing temperature regime used for biochemical analysis of metabolic enzyme level NB: Few mosquitoes survived after exposure to pyrethroid insecticides, resulting in an unequal number of mosquitoes in the pyrethroid-exposed group; all mosquitoes exposed to insecticides at 34 °C died; hence there were no live insecticide-exposed mosquitoes to test from the 34 °C temperature regime Temperature regime (°C) Mosquitoes that were not exposed to pyrethroids Mosquitoes that were exposed to pyrethroids

Statistical analysis
Insecticide susceptibility data were interpreted following WHO criteria: mosquitoes were defined as susceptible if mortality was greater than 98%; mortality between 90 and 98% indicated suspected resistance with more investigations needed; and mortality less than 90% suggested confirmation of the existence of resistance genes [4]. Some of the controls had mortality between 5 and 20%; therefore, mortality was corrected using Abbott's formula [43] as follows: Probit analysis was also used to estimate KDT 50 and mosquito's susceptibility status to permethrin and deltamethrin insecticides. The KDT 50 is the time at which 50% of the mosquitoes were knocked down. Using IBM SPSS Statistics software (version 23.0), the number of knocked-down mosquitoes was considered the response frequency, the total number of mosquitoes per test was regarded as the total number observed, and time was considered a covariate. Log base 10 response was calculated from the data [44]. The KDT 50 was used to calculate the knockdown resistance ratio (KRR 50 ) by dividing the KDT 50 of the test mosquitoes (An. gambiae s.l. Tiassalé strain) by that of the An. gambiae s.l. Kisumu reference susceptible strain in all four temperature regimes [45,46]. The KRR 50 was scaled as follows: KRR 50 < 1 = susceptible, 1-10 = low resistance, 11-30 = moderate resistance, 31-100 = high resistance, and KRR 50 > 100 = very high resistance [47].
With regard to metabolic enzyme data, the assumptions of normality and homogeneity of variances were assessed using Shapiro-Wilk and Bartlett's tests, respectively, in Stata version 15.1 (StataCorp LLC, TX, USA). The levels of MFO, GSTs, and NSE (alpha and beta) enzymes were not normally distributed and were analyzed using the non-parametric Kruskal-Wallis H-test. In cases where the overall model showed statistically significant differences, Dunn's multiple range tests were further used to determine where the differences existed. A Mann-Whitney U-test was used to compare the enzyme levels in mosquitoes that were not exposed and those that were exposed to pyrethroids. Unless otherwise stated, in all statistical analyses, a P-value of less than 0.05 was considered significant.

Mortality in An. gambiae s.l. mosquitoes after exposure to pyrethroids
The results of insecticide susceptibility of An. gambiae s.l. (Tiassalé) to deltamethrin and permethrin insecticides are presented in Fig. 1. Adult mosquitoes that emerged at 36 °C died within the first 24 h post-emergence, and no adults emerged at 38 or 40 °C. Therefore, bioassay and molecular tests were restricted to only adults that emerged from 25, 28, 30, 32, and 34 °C. Mortality in the control replicates at 32 °C exceeded 5%; therefore, mortality was corrected, consistent with prescribed guidelines using Abbott's formula [43].
Overall, deltamethrin insecticides induced higher mortality compared with permethrin insecticides irrespective of the temperature regime. Female mosquitoes showed high mortality (100%) to deltamethrin at 28 °C and mortality decreased at temperature above 28 °C (Fig. 1). Upon exposure to permethrin, mortality in An. gambiae s.l. (Tiassalé) mosquitoes decreased with increasing temperature from 28 (81.61%) to 32 °C (43.06%). All susceptible An. gambiae s.l. (Kisumu) mosquitoes exposed to permethrin and deltamethrin insecticides died irrespective of the rearing temperature (Additional file 1: Table S2).

Knockdown resistance ratio
The time at which 50% of the mosquitoes were knocked down (KDT 50 ) after exposure to insecticides was assessed under different temperature regimes, 25, 28, 30, 32, and 34 °C. The KDT 50 of An. gambiae s.l.
(Tiassalé) mosquitoes exposed to both permethrin and deltamethrin insecticides decreased with increasing temperature from 25 to 34 °C. For mosquitoes raised at 25 °C and exposed to permethrin insecticides, the KDT 50 was higher (888.70 min) than in the other temperature regimes (Table 3). Furthermore, the KRR based on KDT 50 for deltamethrin decreased with increasing temperature from 25 to 32 °C. With permethrin, the resistance ratio was highest at 25 °C (51.31), followed by 32 °C (4.12), 28 °C (3.87), and 30 °C (3.59) ( Table 3). Generally, all the mosquitoes in this study had developed a certain level of resistance to permethrin and deltamethrin insecticides, which enabled them to survive the knockdown effect for some time.
Furthermore, β-esterase levels in mosquitoes reared at 25 and 30 °C and exposed to pyrethroids were higher than in those that were not exposed to pyrethroids. On the other hand, β-esterase level in mosquitoes that were not exposed to pyrethroids was higher than in those that were raised at 28 and 32 °C and were exposed to pyrethroids (Fig. 5). However, only mosquitoes reared at 25 °C showed a statistically significant difference (Mann-Whitney U-test, z = −6.03, P < 0.001) in β-esterase levels (Additional file 1: Table S5).

Discussion
Mosquito susceptibility to pyrethroids decreased with increasing temperature. This may be attributed to the higher expression of enzymes at high temperatures [48]. At high temperatures, the metabolism of insects is significantly faster [49], leading to rapid breakdown of insecticides, thereby making them relatively ineffective. This finding is in agreement with that of Oliver and Brooke [19], in which the susceptibility of An. arabiensis (SENN DDT strains) to pyrethroids decreased with increasing temperature. Another important finding was that deltamethrin induced higher mortality in mosquitoes than permethrin, indicating that mosquitoes were resistant to permethrin based on WHO criteria [4]. These findings are likely linked to the chemistry of the insecticides: deltamethrin belongs to the group of type II pyrethroids, which are more toxic than type I pyrethroids such as permethrin [50]. This could explain the high mortality in mosquitoes exposed to deltamethrin insecticides across all temperature regimes. This finding is in agreement with the findings of Dadzie et al. [9], which showed that An. gambiae s.l. mosquitoes were more susceptible Fig. 4 Median α-esterase level in An. gambiae s.l. mosquitoes reared at different temperature regimes. NB: No mosquito reared at 34 °C survived after being exposed to pyrethroids; hence, no enzyme level was measured Fig. 5 Median β-esterase level in An. gambiae mosquitoes reared at different temperature regimes. NB: No mosquito reared at 34 °C survived after being exposed to pyrethroids; hence, no enzyme level was measured to deltamethrin than permethrin. With projections of warmer temperatures in coming years, especially in sub-Saharan Africa, high resistance to pyrethroids with increasing temperatures could affect the effectiveness of malaria control programs using pyrethroids [10]. In Ghana, most mosquito control programs rely mainly on pyrethroid insecticides [51], and any future resistance will not bode well.
With regard to metabolic enzymes, MFO and GST levels in mosquitoes that were not exposed to pyrethroids increased with increasing temperature from 25 to 32 °C. On the other hand, enzyme expression levels decreased at 34 °C, suggesting that enzyme expression may be impaired above a certain optimum temperature range [52]. In addition, very high temperatures could disrupt the shape of the active site of an enzyme, hence reducing enzyme levels by preventing their formation [53]. When insects are faced with harsh conditions such as heat stress, there is an increase in the expression of enzymes such as GST and catalase in order to overcome the stress [54]. This could be a possible explanation for the increased enzyme levels at high temperatures observed in this study. These findings are corroborated by those of Kristensen and colleagues, who reported increased expression of proteasomal proteins (proteins involved in repair and degradation of oxidatively damaged proteins) in Drosophila melanogaster adapted to high temperatures as compared with those acclimatized to low temperatures [55]. The elevated levels of enzymes associated with higher temperatures could provide a useful understanding of the role that future warmer temperatures could play in the evolution of insecticide resistance [56].
Comparing the enzyme levels in mosquitoes that were not exposed and those exposed to pyrethroids, levels of MFO, GST, α-esterase, and β-esterase were higher in those exposed to pyrethroids than in those that were not exposed, especially at 25 and 30 °C. The high resistance of mosquitoes to insecticides might have involved metabolic detoxification due to the elevated enzyme expression in mosquitoes exposed to pyrethroids [10]. These findings are consistent with the results of Ochomo et al. [10], who observed that the levels of MFO, GST, and β-esterase in An. gambiae s.s. mosquitoes exposed to permethrin insecticides were higher than in mosquitoes that were not exposed to insecticides.
The study further revealed that MFO was the least expressed enzyme in mosquitoes. The findings are in agreement with those of Alemayehu et al. [2], who observed higher levels of GSTs than MFO in An. arabiensis mosquitoes. However, the findings of the current study are contrary to those reported by Leong et al. [25], who found more elevated levels of MFO than of α-esterase, β-esterase, and AChE in A. aegypti mosquitoes. These findings raise the possibility that the levels of metabolic enzymes may differ among mosquito species [57]. Therefore, understanding the relationship between temperature and expression of metabolic enzymes in a future warmer temperature regime would be of great significance for ascertaining the different metabolic enzymes involved in detoxification of insecticides.

Conclusions
This study contributes to the knowledge of the effects of temperature variability on An. gambiae s.l. mosquitoes' susceptibility to insecticides and metabolic enzyme expression. The results suggest that An. gambiae s.l. mosquitoes reared at higher temperatures have increased insecticide resistance than those reared at lower temperatures. In addition, increased rearing temperatures of An. gambiae s.l. mosquitoes were associated with increased expression of metabolic enzymes. Increased metabolic enzyme levels are usually associated with insecticide resistance. This suggests that elevated temperatures projected in a future warmer climate could increase mosquitoes' resistance to insecticides and thus reduce the effectiveness of vector control measures for diseases such as malaria. Therefore, it is essential to research new tools for vector management rather than depending only on chemical insecticides.